2019—2023 年云南省卫生监督机构卫生健康 监督员配置公平性分析

Objective To explore the equity of health supervisor allocation in health supervision agencies in Yunnan Province from 2019 to 2023, and to provide a basis for further optimizing the reformof health supervision in Yunnan Province. Methods Using the National Health Supervision Information Reporting Systemand Yunnan Statistical Yearbook data, the configuration of health supervisors in agencies in Yunnan Province was described, and the equity was analyzed by using the agglomeration degree and the Theil Index. Results The number of health supervisors in Yunnan Province from 2019 to 2023 was 1 795, 1 762, 1 824, 1 796 and 1763, respectively (The numbers of health supervisors per 10 000 population was 0. 37, 0. 36, 0. 39,0. 38, and 0. 38, respectively. The health supervisor’s agglomeration degree in the four regions of Yunnan Province from2019 to 2023 was different, with that in Central and Northeast regions were always greater than 1, and Northwest region was always the lowest and less than 1 (0. 61 -0. 67). The difference between the health supervisor agglomeration degree and population agglomeration degreeranged from -0. 68 to 0. 74, with the différence fluctuating around 0 for Northwest and Central regions, also the différence for Northeast Yunnan was always less than 0. There was no significant change in the Theil Index of health supervisors in Yunnan Province from 2019 to 2023, and the Theil Index by geographical distribution (0.073 -0.078) was always higher than that calculated by population distribution (0. 030 - 0. 032), and the contribution rate between regions was greater than that with regions. Conclusion The provision of health supervisors in Yunnan Province has improved, but it is still lower than the national standard. The geographic equity of the allocation is not as fair as the demographic equity. The distribution of resources for health supervisors should be conducted with comprehensive consideration of the population density and the radius of themedical services.